The University of Scranton

Media Request Form

Film/Video Request Form


Please Note:

Only requests from Faculty can be accepted. Requests should be submitted as early as possible before screen date. At least 48 hours notice is preferable.

A request is not confirmed until the MRC staff notifies the requestor by phone or e-mail.

Requestor Information

Professor's Name:*
Department:
Phone (Office/Home):
Email Address:*
Status:

* Required fields.

Film/Video Information

Please fill in separate Film/Video information for EACH SCREEN DATE. Leave fields blank if unknown.
 
Film/Video Details
Title* Call Number Format 
eg. film/video
1.
Screen Date:
Time: AM PM
2.
Screen Date:
Time: AM PM
3.
Screen Date:
Time: AM PM

Additional information that may help locate the item/s :